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Patient Safety May Drop During Doc Rotations

Posted 4 days ago by Drugs.com

TUESDAY, Dec. 6, 2016 – Hospitalized patients who are handed off by their original medical team to a new set of caregivers may ultimately face a higher risk of early death, new research warns. The finding does not apply to daily shift changes or new patients who see one doctor or nurse at admitting, and then another shortly thereafter. Rather, it centers on a standard hospital dynamic known as "rotations," in which teams of caregivers hold the fort for a defined amount of time, sometimes weeks, before turning their pool of patients over to a new team. Such a transition "occurs each month when a training physician [resident] switches clinical rotations by transferring the care of hospitalized patients, often up to 10 to 20 at a time, to an oncoming physician who has never met the patients," explained study author Dr. Joshua Denson. He is a fellow in the division of pulmonary sciences ... Read more

Related support groups: Lisinopril, Losartan, Benicar, Diovan, Ramipril, Cozaar, Micardis, Enalapril, Valsartan, Benazepril, Avapro, Atacand, Irbesartan, Perindopril, Telmisartan, Candesartan, Prevention of Cardiovascular Disease, Edarbi, Quinapril, Olmesartan

Smoking May Hinder Kidney Disease Drugs

Posted 18 Nov 2016 by Drugs.com

FRIDAY, Nov. 18, 2016 – Cigarette smoking may decrease the effectiveness of drugs taken during early stages of chronic kidney disease, a small study suggests. Blood pressure-lowering drugs known as angiotensin-converting enzyme inhibitors slow kidney decline by relaxing blood vessels. "It has practically become dogma that if you have a patient with high blood pressure and chronic kidney disease that you start them on an angiotensin-converting enzyme inhibitor," said study author Dr. Bethany Roehm, of Tufts Medical Center in Boston. "We are often comforted as clinicians that we are doing something to help slow progression of their kidney disease in doing this," Roehm added in a news release from the American Society of Nephrology. "But our data suggest that this may not be the case for smokers, and our study underscores the importance of doing all we can as clinicians to encourage our ... Read more

Related support groups: Lisinopril, Smoking, Smoking Cessation, Renal Failure, Ramipril, Enalapril, Benazepril, Chronic Kidney Disease, Perindopril, Quinapril, Zestril, Vasotec, Altace, Lotensin, Captopril, Accupril, Fosinopril, Prinivil, Monopril, Trandolapril

Sharp Drop in Blood Pressure After Rx May Be Risky for Some Heart Patients

Posted 15 Nov 2016 by Drugs.com

MONDAY, Nov. 14, 2016 – In some people with high blood pressure, too-steep drops in blood pressure after drug therapy may actually raise their risk of premature death, preliminary findings suggest. Researchers led by Dr. Peter Okin, of Weill Cornell Medicine in New York City, tracked data on nearly 8,000 non-diabetic adults who had high blood pressure. The researchers first looked at patients who had systolic blood pressure (the upper number in a reading) of 164 mm Hg or higher before treatment. Patients who reduced that number to less than 142 mm Hg during treatment were 32 percent more likely to die during the study period than those who lowered it to 152 mm Hg or more during treatment, the findings showed. But the scenario was different if systolic blood pressure was below 164 mm Hg before treatment, according to the report. In these cases, when drug treatment lowered systolic blood ... Read more

Related support groups: High Blood Pressure, Lisinopril, Hypertension, Metoprolol, Atenolol, Propranolol, Bystolic, Carvedilol, Ramipril, Bisoprolol, Coreg, Enalapril, Benazepril, Inderal, Sotalol, Toprol-XL, Lopressor, Timolol, Lotrel, Nadolol

Health Tip: Coping With a Chronic Cough

Posted 2 Nov 2016 by Drugs.com

-- Frequent coughing is a sign of an illness, allergen or exposure to something that's irritating your lungs. Here are suggestions to help tame the hacking, courtesy of the U.S. National Heart Lung and Blood Institute: Quit smoking. Your doctor can help you find a program to help you quit. Figure out which allergens or irritants trigger your cough. Avoid common triggers, such as cigarette smoke, mold, pollen, animal dander or dust. Eat a healthy diet and get plenty of exercise and rest. Read more

Related support groups: Lisinopril, Cough, Smoking, Smoking Cessation, Ramipril, Enalapril, Benazepril, Cough and Nasal Congestion, Perindopril, Quinapril, Zestril, Vasotec, Altace, Lotensin, Captopril, Accupril, Fosinopril, Prinivil, Monopril, Capoten

Are Some Blood Pressure Meds Linked to Depression, Bipolar Risk?

Posted 11 Oct 2016 by Drugs.com

TUESDAY, Oct. 11, 2016 – Some blood pressure drugs may boost the risk that patients will be hospitalized for depression and bipolar disorder, a new study suggests. But the researchers added that the effect seems small, and the study did not prove cause and effect. Still, "it might be worthwhile for physicians to remember that some of these medications may have an impact on mental health in some of their patients," said study author Angela Boal, a medical student at the University of Glasgow in Scotland. The study was published online Oct. 10 in the American Heart Association journal Hypertension. Researchers have found evidence of a link between heart disease and mental illness, Boal said. Some possible explanations: people who are anxious may exercise less, eat unhealthy foods and take up habits such as smoking and substance abuse, she suggested. Also, stress can boost levels of blood ... Read more

Related support groups: Depression, Bipolar Disorder, High Blood Pressure, Lisinopril, Major Depressive Disorder, Hypertension, Mania, Norvasc, Ramipril, Enalapril, Benazepril, Inderal, Lopressor, Perindopril, Adalat, Quinapril, Zestril, Vasotec, Captopril, Altace

Untreated High Blood Pressure Greatly Raises Risk of 'Bleeding' Stroke

Posted 19 Feb 2016 by Drugs.com

THURSDAY, Feb. 18, 2016 – People with untreated high blood pressure face a much greater risk of a bleeding stroke, but that risk is even higher for blacks and Hispanics, a new study warns. "The average age for a brain hemorrhage [bleeding stroke] is much younger in minorities, especially in African-Americans, so they may suffer more disability earlier in life than others," study author Dr. Kyle Walsh said in an American Stroke Association news release. "It's important to be aware of having high blood pressure in the first place, and once diagnosed, to have it treated appropriately," added Walsh, an assistant professor of emergency medicine at the University of Cincinnati. The study included more than 4,600 white, black and Hispanic Americans who were followed for six years. During that time, half of them suffered a bleeding stroke. Compared to having normal blood pressure, having ... Read more

Related support groups: High Blood Pressure, Lisinopril, Hypertension, Metoprolol, Atenolol, Losartan, Propranolol, Benicar, Diovan, Bystolic, Carvedilol, Ramipril, Bisoprolol, Cozaar, Coreg, Micardis, Valsartan, Enalapril, Benazepril, Inderal

Physically Demanding Job, High Blood Pressure a Bad Mix for Women

Posted 15 Feb 2016 by Drugs.com

MONDAY, Feb. 15, 2016 – Having a physically demanding job and high blood pressure may triple a woman's risk of heart disease, a new study contends. Researchers looked at more than 12,000 female nurses in Denmark, and found that those with high blood pressure and highly active jobs were much more likely to develop heart disease than those with normal blood pressure and moderately active jobs. "Previous research has shown that men and women with physically demanding jobs have an increased risk of heart disease," said study author Karen Allesoe, a Ph.D. student at the University of Southern Denmark. "The two risk factors appear to work together, resulting in an even greater incidence of heart disease," Allesoe said. "To our knowledge, this has not been shown before among women." However, the study only showed an association for heart disease risk, not a cause-and-effect relationship. The ... Read more

Related support groups: High Blood Pressure, Lisinopril, Hypertension, Losartan, Benicar, Diovan, Ramipril, Cozaar, Micardis, Enalapril, Valsartan, Benazepril, Azor, Exforge, Benicar HCT, Avapro, Atacand, Diovan HCT, Irbesartan, Hyzaar

New Blood Pressure Guidelines a Danger to Patients: Study

Posted 1 Feb 2016 by Drugs.com

MONDAY, Feb. 1, 2016 – Scientists continue to debate when doctors should prescribe blood pressure medication for older Americans, with a new study saying delayed treatment puts people at greater risk of stroke. For people 60 and older, a U.S. panel in 2014 recommended raising the blood pressure rate at which doctors prescribe treatment from 140 to 150 systolic blood pressure. Systolic blood pressure is the top number in a blood pressure reading. But the new study finds that people with systolic blood pressure of 140 to 149 have a 70 percent increased risk of stroke compared to people with lower blood pressure. "Our study shows the borderline group is probably as risky as having a blood pressure greater than 150, at least for stroke risk," said senior author Dr. Ralph Sacco, chair of neurology at the University of Miami Miller School of Medicine. "This was a controversial move, and I ... Read more

Related support groups: High Blood Pressure, Lisinopril, Hypertension, Metoprolol, Atenolol, Losartan, Benicar, Diovan, Bystolic, Ramipril, Bisoprolol, Cozaar, Micardis, Valsartan, Enalapril, Benazepril, Avapro, Toprol-XL, Atacand, Lopressor

Newer Blood Pressure Drugs as Good as Older Ones: Study

Posted 4 Jan 2016 by Drugs.com

MONDAY, Jan. 4, 2016 – Newer blood pressure drugs are as safe and effective as older medications, new research suggests. Scientists at the NYU Langone Medical Center in New York City said their findings settle a longstanding debate about which of two types blood-pressure lowering medications studied are better. An analysis of 106 randomized trials involving more than 250,000 patients examined the effects of newer angiotensin receptor blockers (ARBs) and older angiotensin-converting enzyme (ACE) inhibitors. Although ACE inhibitors were developed 10 years earlier, both types of drugs showed similar effects in the analysis, challenging previous findings that suggest ACE inhibitors have greater benefits. According to the new analysis, published online Jan. 4 in the Mayo Clinic Proceedings, the only difference between the medications is that ARBs are more easily tolerated. "There has been ... Read more

Related support groups: High Blood Pressure, Lisinopril, Hypertension, Losartan, Benicar, Diovan, Ramipril, Cozaar, Micardis, Valsartan, Enalapril, Benazepril, Avapro, Atacand, Irbesartan, Perindopril, Telmisartan, Candesartan, Quinapril, Edarbi

All High-Risk Patients Should Get Blood Pressure Meds: Study

Posted 25 Dec 2015 by Drugs.com

THURSDAY, Dec. 24, 2015 – People known to be at high risk for a heart attack or stroke should be given blood pressure-lowering medications no matter their blood pressure level, new research suggests. Current protocols recommend starting medication when readings reach specific levels. The threshold used to be 130/85 mm Hg. But it was recently shifted to 140/90 mm Hg for non-elderly individuals, and 150/90 for the elderly. The newest and latest call for a new treatment regimen follows a review of 123 studies conducted between 1966 and 2015 that, in total, involved more than 600,000 people. The new report was published in the Dec. 23 issue of The Lancet. "Our findings clearly show that treating blood pressure to a lower level than currently recommended could greatly reduce the incidence of cardiovascular disease and potentially save millions of lives if the treatment was widely ... Read more

Related support groups: High Blood Pressure, Diabetes, Type 2, Lisinopril, Hypertension, Metoprolol, Heart Disease, Atenolol, Losartan, Heart Attack, Propranolol, Hydrochlorothiazide, Benicar, Diovan, Heart Failure, Congestive Heart Failure, Bystolic, Carvedilol, Renal Failure, Ramipril, Bisoprolol

More Support for Lower Blood Pressure Goals

Posted 9 Dec 2015 by Drugs.com

WEDNESDAY, Dec. 9, 2015 – Intensive treatment to lower blood pressure below currently recommended levels reduces the risk of heart attack and stroke in patients with high blood pressure, heart disease, diabetes and kidney disease, a new study shows. Effective blood pressure goals have been the subject of much recent scientific debate, with another recent study also supporting lower targets. For this study, researchers analyzed data from 19 clinical trials that included nearly 45,000 people. They wanted to assess the potential benefits and safety of pushing systolic blood pressure in high-risk patients below the current target of 140. Systolic is the top number in a blood pressure reading. Compared to those who received standard treatment, average systolic pressure was 6.8 lower and diastolic blood pressure was 4.5 lower in patients who received more intensive treatment – 133.2/76.4 ... Read more

Related support groups: High Blood Pressure, Lisinopril, Hypertension, Metoprolol, Heart Disease, Atenolol, Ischemic Stroke, Heart Attack, Propranolol, Hydrochlorothiazide, Bystolic, Carvedilol, Renal Failure, Ramipril, Bisoprolol, Coreg, Enalapril, Benazepril, Inderal, Sotalol

Drugs May Protect the Heart During Chemotherapy

Posted 9 Dec 2015 by Drugs.com

WEDNESDAY, Dec. 9, 2015 – Two kinds of medications can prevent heart damage in breast cancer patients as they undergo chemotherapy, a new study suggests. Chemotherapy improves survival among women with early-stage breast cancer, but can dramatically increase their risk of heart failure, the researchers explained. This five-year study of 100 early-stage breast cancer patients in Canada found that two kinds of heart medicines – beta blockers and ACE inhibitors – seem to protect the heart during chemotherapy. "We think this is practice-changing. This will improve the safety of the cancer treatment that we provide," study co-investigator Edith Pituskin, an assistant professor in the Faculty of Nursing and Faculty of Medicine and Dentistry at the University of Alberta in Canada, said in a university news release. The heart medications not only protect the heart, but may also improve ... Read more

Related support groups: Lisinopril, Provera, Depo-Provera, Metoprolol, Atenolol, Breast Cancer, Propranolol, Heart Failure, Lupron, Congestive Heart Failure, Bystolic, Tamoxifen, Medroxyprogesterone, Carvedilol, Ramipril, Bisoprolol, Arimidex, Coreg, Lupron Depot, Femara

Why Women Should Lower Their Holiday Stress Level

Posted 23 Nov 2015 by Drugs.com

SUNDAY, Nov. 22, 2015 – The stress of making holiday time a happy time can put women at risk for heart problems, an expert warns. The pressure of tasks like cooking, buying presents, and organizing family gatherings can lead to stress that can damage their hearts, according to Dr. Karla Kurrelmeyer, a cardiologist with Houston Methodist Hospital's Heart and Vascular Center. "We have seen more than a few cases of stress-induced cardiomyopathy around the holidays. This occurs when women are under great amounts of stress for a short period of time and that stress is compounded with another traumatic event, such as a death in the family, a car accident, loss of money, etc. If it is ignored, it can be fatal," she said in a hospital news release. Stress-induced cardiomyopathy occurs when stress hormones weaken the left ventricle, the heart's main pumping chamber. The condition is most common ... Read more

Related support groups: Anxiety, Anxiety and Stress, Lisinopril, Metoprolol, Atenolol, Propranolol, Bystolic, Carvedilol, Ramipril, Bisoprolol, Coreg, Enalapril, Benazepril, Inderal, Sotalol, Toprol-XL, Lopressor, Timolol, Nadolol, Perindopril

Nearly Half of Americans With High Blood Pressure Not Controlling It: CDC

Posted 12 Nov 2015 by Drugs.com

THURSDAY, Nov. 12, 2015 – Nearly half of Americans with high blood pressure are not properly controlling their condition, increasing their risk of heart attack, stroke and heart disease, a new government report shows. About 47 percent of people with high blood pressure have not brought their numbers to a normal range, through either lifestyle changes or medications, according to data published Nov. 12 from the U.S. Centers for Disease Control and Prevention. That's actually a huge improvement: Back in 1999, more than 68 percent did not have their blood pressure under control, the report found. But it's far short of the federal Healthy People 2020 goal, which calls for fewer than 40 percent of people with high blood pressure to have it uncontrolled by that date, according to the CDC researchers. Experts agreed that the problem is still significant. "I don't think we have enough positive ... Read more

Related support groups: High Blood Pressure, Lisinopril, Hypertension, Metoprolol, Atenolol, Losartan, Propranolol, Hydrochlorothiazide, Benicar, Diovan, Bystolic, Carvedilol, Ramipril, Bisoprolol, Cozaar, Coreg, Micardis, Valsartan, Enalapril, Benazepril

Heart Patients Worldwide Missing Out on Key Drugs

Posted 20 Oct 2015 by Drugs.com

TUESDAY, Oct. 20, 2015 – Many patients worldwide don't receive generic life-saving heart medicines that are supposedly affordable, a new study reveals. In poor and middle-income nations, these vital medications are often not widely available or are too expensive. In rich countries, as many as half of patients with a history of heart disease or stroke still don't receive them, the researchers found. "Unless both availability and affordability of these medicines are improved, their use is likely to remain low in most of the world," they added. The study is published Oct. 21 in The Lancet. Four classes of heart medicines – aspirin, beta blockers, statins and angiotensin-converting-enzyme (ACE) inhibitors – should be available in 80 percent of communities and used by half of eligible patients by 2025, the World Health Organization says. But compliance currently is far from those targets, ... Read more

Related support groups: Lisinopril, Aspirin, Metoprolol, Heart Disease, Atenolol, Losartan, Lipitor, Propranolol, Simvastatin, Arrhythmia, Benicar, Diovan, Crestor, Bystolic, Atorvastatin, Pravastatin, Carvedilol, Angina, Ramipril, Bisoprolol

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